Evidence map›Paper›PMID 41291546›Full record

ArticleBMC pediatrics2025

Effect of multidisciplinary interventions using the Enabling Inclusion® program on gross motor function and functional independence in children with disabilities in rural South India.

Nisha Bhrasadiya, Franzina Coutinho, Selvam Ramachandran, Marie Brien, Vennila J, Navamani Venkatachalapathy, Ramasubramanian Ponnusamy, Dinesh Krishna, Deepalaxmi Paresh Poojari

Abstract read
In one paragraph

Article in BMC pediatrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Nisha Bhrasadiya *Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0009-0002-5891-7922
Franzina Coutinho *Enabling Inclusion Program, Amar Seva Sangam, No-10/2/163, Sulochana Gardens, Tenkasi Road, Ayikudy, Tamil Nadu, 627852, India.ORCID 0000-0002-1873-2379
Selvam Ramachandran *Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0001-7227-9547
Marie Brien *Enabling Inclusion Program, Amar Seva Sangam, No-10/2/163, Sulochana Gardens, Tenkasi Road, Ayikudy, Tamil Nadu, 627852, India.ORCID 0000-0001-9086-5160
Vennila J *Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India.ORCID 0000-0002-5786-8535
Navamani Venkatachalapathy *Enabling Inclusion Program, Amar Seva Sangam, No-10/2/163, Sulochana Gardens, Tenkasi Road, Ayikudy, Tamil Nadu, 627852, India.ORCID 0000-0002-5400-3421
Ramasubramanian Ponnusamy *Enabling Inclusion Program, Amar Seva Sangam, No-10/2/163, Sulochana Gardens, Tenkasi Road, Ayikudy, Tamil Nadu, 627852, India.ORCID 0000-0002-8022-8982
Dinesh Krishna *Enabling Inclusion Program, Amar Seva Sangam, No-10/2/163, Sulochana Gardens, Tenkasi Road, Ayikudy, Tamil Nadu, 627852, India.ORCID 0000-0003-1702-5223
Deepalaxmi Paresh Poojari *Department of Physiotherapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, India. deepa.poojary@manipal.edu.ORCID 0000-0003-0035-8478

Funding

Azim Premji Philanthropic Initiative Grant: R-1706-03245Grand Challenges Canada Grant #0819-05
6 · The paper itself

Abstract

backgroundThe Enabling Inclusion® (EI®) program provides multidisciplinary, family-centred rehabilitation services for children with disabilities in rural South India. The program is supported by the Enabling Inclusion® app, and services are delivered collaboratively by community rehabilitation workers (CRWs) and rehabilitation specialists in children's homes or local early intervention centres. This study aimed to determine the effect of the EI® program interventions on gross motor function and functional independence in children with disabilities aged 0-9 years.

methodsThis retrospective cohort study analysed Gross Motor Function Measure (GMFM-88) and Functional Independence Measure for Children (WeeFIM®) scores collected at child enrolment in the EI® program and follow-up assessments conducted over 6 years. General linear model analyses were performed.

resultsThe GMFM-88 and WeeFIM® follow-up data of 1245 participants (508 females and 737 males; mean age: 4.04 ± 2.3 years) were studied. The results demonstrated significant mean differences in both the GMFM-88 (p < 0.001, effect size - 0.356) and WeeFIM® (p < 0.001, effect size - 0.253) scores at all three time points. Female gender, centre-based intervention, and school enrolment were factors showing higher GMFM-88 and WeeFIM® scores.

conclusionThe EI® program's multidisciplinary interventions significantly improved gross motor function and functional independence of children with disabilities aged 0-9 years living in rural South India. This delivery model extends the reach of specialized rehabilitation in resource-limited areas through the use of technology and CRW services. These findings provide credence to the scaling of technology-assisted community-based rehabilitation models in underserved LMIC settings.

trial registrationClinical trial registration not applicable.

Indexed as

Children with DisabilitiesMotor SkillsChildChild, PreschoolFemaleHumansIndiaInfantInfant, NewbornMaleRetrospective StudiesRural PopulationCommunity-based rehabilitationEarly interventionFunctional independenceGross motor functionLower-and middle-income countriesNeurodevelopmental disabilities

Identifiers

PMID41291546
PMCPMC12648795

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.